Individual provider Active NPI

Dryanna Renwick- Prescott

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1013781988
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3303 Stanton Rd SE
Washington, DC 20020-2252
Phone
(202) 545-8444
NPI assigned
Nov 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

3303 Stanton Rd SE
Washington, DC 20020-2252

Mailing address

4818 Larkin Rd
Fort Meade, MD 20755-2150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240610002674 DC Practitioner - Physical Therapist in Private Practice 6204378904 Reassigns benefits to 1 organization
I20240610002951 MD Practitioner - Physical Therapist in Private Practice 6204378904 Reassigns benefits to 1 organization
I20260407001661 WA Practitioner - Physical Therapist in Private Practice 6204378904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Howard University College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehabilitation Group PCGroup PAC ID 0042111718, 192 clinicians

Practice addresses (Care Compare)

190 W Dayton St
Suite 202
Edmonds, WA 98020-7221
Phone (425) 582-8118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients

Locations

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004

28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270

8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1013781988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 LARKIN RD",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "207552150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 STANTON RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200202252",
            "telephone_number": "202-545-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENWICK- PRESCOTT",
        "first_name": "DRYANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.